Baron Bonanza Pilot Training - Register for a Clinic

Name*

First Last

Name for badge

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Daytime Phone*

Cell Phone

Sharing your cell phone number with us is important as it may help us communicate with you during a Clinic

Clinic Information

Clinic Location - Date*

Select the clinic you will attend. If the clinic is less than a week from now, please call 970-206-0182 to register.

How many BPT (or similar) weekend clinics have you previously attended?

Please enter a number from 0 to 30.

Promo Code

If you have a promo code, enter it above

Pilot Registration for In-Person Clinic*

Full Course - Ground School + Flying $1,595
Full Course - Duke $1,695
Ground School with FLY LATER $1,195
Ground School Only $795

FULL COURSE includes flying at the clinic.

Ground School with FLY-LATER means that flying is conducted AFTER the clinic with a BPT Instructor that lives near you. You have the option of flying to the instructor or covering their expenses to travel to you.

GROUND SCHOOL ONLY is an excellent option if your aircraft is in the shop or you just want to take the ground school

Aircraft Information

Aircraft Type

Aircraft N#*

Year aircraft built

Dual Controls?*

Yes - dual control yoke
No - single control yoke

Turbocharged/Turbonormalized?

Yes

Allison Turboprop?

Yes

What GPS, Autopilot, MFD or other special equipment does your aircraft have?

Are you sharing an aircraft with another attendee? If so please provide his/her name

Please answer the following questions about your flight time

Estimated total time*

Bonanza time

Baron/Travel Air/Duchess time

Duke time

Are you instrument rated?*

Yes
No

Pilot Certificate Number*

Your Companion

Name of companion to attend our Non-Pilot Companion Course

Companion's Email Address

Very important - so we can communication key information directly to your companion.

Insurance & Documents we must receive from you before your flight

Insurance Certificate naming BPT Inc. as an additional insured
Sign, date and return the Hold Harmless document

The above should be sent to our insurance manager at: registrar@pbpt.org

On the day of your flight you will complete a PIC Statement

Cancellation Policy

You can cancel up to three weeks prior to the first day of the clinic and receive a full refund less $150 processing fee. If you need to cancel within three weeks but prior to the first day of the clinic, you can reschedule for future clinic within one year for a $150 change fee or receive a 50% refund. If you don’t cancel prior to the first day of the clinic, you will receive a 50% refund.

Promo Code E2013 Entered. You get one Companion Ground School for free!
Leave the Companion Ground School QUANTITY field blank and we'll enroll the companion named above.

Ground School for Non-Pilot Companions

Price: $345.00

FLYING (optional) for Non-Pilot Companions

Price: $345.00

Grand Total

$0.00

Credit Card*

American Express

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MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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Clinic Registration

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